| NPI | 1053476697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041598A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006697) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-01-21 |